Organization Active NPI

Hope Valley Chiropractic, PA

  • Chiropractor
  • Durham, NC
National Provider Identifier
1396780458
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3420 Issued in NC
Legal business name
HOPE VALLEY CHIROPRACTIC, PA
Practice address
3825 S Roxboro St
Suite 115
Durham, NC 27713-2799
Phone
(919) 484-4141
Fax
(919) 484-4188
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David George, Thomas Pace, D.C.NPI 1588613202
Title
Doctor and Manager
Phone
(919) 484-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3420 NC Primary

Addresses

Primary practice location

3825 S Roxboro St
Suite 115
Durham, NC 27713-2799

Mailing address

3825 S Roxboro St
Suite 115
Durham, NC 27713-2799
Phone (919) 484-4141

Other identifiers 2

IdentifierTypeStateIssuer
018E9OtherNCBCBS GROUP NUMBER
5903539MedicaidNC

Other names 1

  • South Durham Accident & Injury Center Doing business as

National Provider Directory

National Provider Directory

Locations

3825 S Roxboro St
Ste 115
Durham, NC 27713
Phone (919) 484-4141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1396780458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 S ROXBORO ST",
            "address_2": "SUITE 115",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132799",
            "telephone_number": "919-484-4141",
            "fax_number": "919-484-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 S ROXBORO ST",
            "address_2": "SUITE 115",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132799",
            "telephone_number": "919-484-4141",
            "fax_number": "919-484-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE VALLEY CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GEORGE, THOMAS",
        "authorized_official_title_or_position": "DOCTOR AND MANAGER",
        "authorized_official_telephone_number": "919-484-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "018E9",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903539",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Durham Accident & Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.